中青年男性膀胱过度活动症与Ⅲ型慢性前列腺炎的诊断重叠性研究

摘要

目的：探讨OAB与CP／CPPS的症状及诊断的重叠情况，为临床诊疗提供参考。方法151例中青年男性患者入选为研究对象，按 OAB 及 CP／CPPS 的定义及诊断标准将其分为 OAB 组、CP／CPPS 组及 OAB ＋CP／CPPS组，并对 OAB ＋CP／CPPS 组进行诊断性治疗对研究对象进行明确诊断；根据年龄分为：18～25岁组、26～35岁组和36～49岁组，比较各年龄组患者 OAB 及 CP／CPPS 的重叠情况；对各组患者的临床症状进行分析比较，了解其重叠情况。结果在151例研究对象中，可诊断为 OAB、CP／CPPS、OAB ＋CP／CPPS 的分别有62例（41.06％）、32例（21.19％）、57例（37.75％），因此 OAB 与 CP／CPPS 的诊断重叠率为37.75％，明显大于 CP／CPPS 患者的诊断率；各年龄组间诊断重叠率无差异（P ＞0.05）；症状的重叠方面，OAB ＋CP／CPPS 组有尿急、尿频、夜尿症、急迫性尿失禁、尿不尽感、排尿困难、泌尿生殖系疼痛和或不适症状的分别为57例（100.00％）、50例（87.72％）、21例（36.84％）、2例（3.51％）、12例（21.05％）、2例（3.51％）、57例（100.00％），其中，尿急、尿频及泌尿生殖系疼痛或不适症状的重叠率最高；OAB ＋CP／CPPS 组经诊断性治疗后诊断为 OAB 患者约61.40％，而 CP／CPPS 患者为38.60％。结论OAB 与 CP／CPPS 两者间有相当高的重叠率且远高于 CP／CPPS 的诊断率，在 OAB 与 CP／CPPS 两者诊断重叠的患者中为 OAB 的可能性更大。%Objective To explore symptoms and diagnosis of overlap between OAB and CP/CPPS,providing reference for clinical treatment. Methods 151 cases of young men were enrolled in the study.According to the definition and diagnostic criteria of OAB and CP/CPPS,we divided the study subjects into OAB group,CP/CPPS group and OAB +CP/CPPS group.And OAB +CP/CPPS group would get a two-week diagnostic treatment to study a clear diagnosis.We also divided the subjects into 18-25 age group,26-35 year-old age group and 36-49 group according to the age,comparing the overlap of OAB and CP/CPPS in different age groups.The symptoms of the subjects in each group were analyzed to compare and study the overlap. Results A-mong these 151 cases,62 cases (41.06%)can be diagnosed as OAB,32 cases (21.19%)as CP/CPPS,57 cases (37.75%) as OAB +CP/CPPS.Therefore,OAB and CP/CPPS diagnostic overlap was 37.75%,significantly higher than the diagnosis of CP/CPPS patients;no significant difference (P >0.05)among all age groups diagnostic overlap rate;overlapping terms of symp-toms,OAB +CP/CPPS group urgency,urinary frequency,nocturia,urgency incontinence,urine not the flu,difficulty urina-ting,or genitourinary pain and discomfort were 57 cases (100.00%),50 cases (87.72%),21 cases (36.84%),2 cases (3.51%),12 cases (21.05%),2 cases (3.51%),57 patients (100.00%),which overlap ratio urgency,frequency,and genitourinary pain or discomfort was high;OAB +CP/CPPS group after diagnosis diagnostic treatment of OAB patients was about 61.40%,while CP/CPPS patients was 38.60%. Conclusion There is high overlap rate between OAB and CP/CPPS,which is much higher than the diagnostic rate of CP/CPPS.It is likely to have an OAB when a patient is diagnosed as OAB or CP/CPPS at the same time.